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Workers' Compensation History

Contractor License #	969201
Contractor Name	AMBIANCE CONSTRUCTION

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 01/30/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 01/22/2018 Expiration Date 01/30/2020

Insurance Company EXEMPT Policy # Effective Date 07/05/2016 Expiration Date 01/22/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9112711 Effective Date 09/20/2014 Cancellation Date 05/18/2016

Insurance Company EXEMPT Policy # Effective Date 12/04/2013 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 12/15/2011 Expiration Date 12/04/2013